耳植入候选人中的大声适应,以在清醒时进行耳植入时告知听力保存
Karl R Khandalavala1, Christine M Lohse2, Jill M Gruenwald1
1Department of Otolaryngology-Head and Neck Surgery.
概括
耳植入候选人在手术室噪音中显示可靠的听力测试结果. 对于清醒的耳植入物来说,最佳的音调呈现涉及更高的强度和更低的频率,以最大限度地减少噪音适应.
科学领域:
- 听力学 听力学是指听力学.
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在局部麻醉下进行耳植入 (CI) 允许手术期间的患者反,以更好地保护听力.
- 声音适应和强度歧视对于清醒的CI至关重要,但在CI候选人中没有得到充分研究.
研究的目的:
- 系统地研究成年CI候选人的声音适应和强度歧视.
- 在操作室 (或) 噪音的存在下,评估听力测试的可靠性.
主要方法:
- 成年CI候选人在安静和录制的OR噪音中接受了标准声度测试.
- 使用各种超值级别和频率的纯色调测试了声音适应和强度歧视.
- 测量了纯音调平均值 (PTA),响度调整比例和强度区分可靠性.
主要成果:
- 在安静和OR噪音方面,PTA与PTA相似.
- 55%的参与者报告说,在+10dB超值时,噪音适应程度降低到40%,在+20dB时降低到40%.
- 强度歧视在5dB的增量下是可靠的,即使有背景或噪声.
结论:
- 对于CI候选人来说,手术期间的听力测试是可靠的,因为在OR噪声中性能没有显著差异.
- 较高的音调呈现水平 (+20 dB) 和较低的频率降低了响度适应.
- 一个5dB的增量是可靠的强度歧视在测试条件.
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